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The new non-robotic transaxillary endoscopic technique allows tumours of the thyroid gland to be removed, without having to cut open the neck.
The operation is performed under general anaesthesia and the thyroid cell is accessed through three incisions of less than 1 cm: 2 in the armpit and another at the areola. Thanks to the use of the endoscopic instruments, we can make a path until the thyroid tumour is localised and the gland can be removed.
REMOVAL OF THE THYROID GLAND WITHOUT VISIBLE SCARS.
Most thyroid operations can be carried out through a 3 or 4 cm incision in the lower and anterior part of the neck although sometimes somewhat longer incisions may be necessary.
Whenever possible, we take advantage of a neck wrinkle to hide the scar.
In very selected cases, we can operate the thyroid through small incisions in the armpit, thus avoiding any scars on the neck.
We know how to safely perform all the different surgical alternatives which exist. You can rest assured that we will choose the one that best suits your case.
- Benign tumour:
o CONVENTIONAL THYROIDECTOMY
o MINIMALLY INVASIVE THYROIDECTOMY (MINT)
o VIDEO ASSISTED THYRODIECTOMY (MIVAT)
o TRANSAXILAR THYROIDECTOMY
-Thyroid cancer:
o CONVENTIONAL THYROIDECTOMY
o MINIMALLY INVASIVE THYROIDECTOMY (MINT)
- Lymph node disease due to tumour spreading:
o CONVENTIONAL LYMPHENECTOMY
o MINIMALLY INVASIVE LYMPHENECTOMY (MINT)
-Reappearance of the tumour:
o CONVENTIONAL EXCISION
o MINIMALLY INVASIVE EXCISION
We know how to safely perform all the different surgical alternatives which exist. You can rest assured that we will choose the one that best suits your case.
Conventional hernioplasty
The intervention is performed from the outside through an incision in the groin or in the area of the hernia. This incision extends through the skin and fat until the defect is located.
To correct the opening, we insert a state-of-the-art self-adhesive mesh.
This procedure of placement without stitches or staples is ideal for young or middle-aged people who need a normal recovery to their usual physical activity.
Laparoscopic hernioplasty
Three incisions are made in the abdomen obtaining three working channels to reach the defect.
A state-of-the-art self-adhesive mesh is placed over the defect.
It is a very useful procedure in large bilateral defects or recurrent hernias.
It is perfect for athletes or the elderly with reduced mobility as it guarantees a return to intense physical activity in record time.
A laparoscopy is ideal for athletes or the elderly with reduced mobility as it guarantees a return to intense physical activity in record time.
Most parathyroidectomies are performed through a 2 cm incision in the anterior and lateral part of the neck, practically without touching any other anatomical structure. This operation is selective and can be performed in 7 out of 10 patients. If it is necessary to locate the four glands, the incision will be central and somewhat longer.
In any case, whenever possible we take advantage of a neck wrinkle of the neck to hide the scar.
This operation is not very painful and most patients need only one to three doses of painkillers as post-operative care.
We know how to safely perform all existing surgical alternatives and we will choose the one that best suits your case.
o CONVENTIONAL PARATHYROIDECTOMY
o MINIMALLY INVASIVE PARATHYROIDECTOMY (MINP)
o VIDEO ASSISTED PARATHYROIDECTOMY (MIVAP)
o ENDOSCOPIC PARATHYROIDECTOMY (EP)
Whenever possible we will take advantage of a neck wrinkle to hide the scar.
An adrenalectomy is a surgical procedure that removes one or both diseased adrenal glands.
As we are the only ones in the world able to safely perform all the existing technical alternatives, we will help you choose the most appropriate one for your case.
There are several types of operations:
- Benign or malignant disease:
o STANDARD LAPAROSCOPY
o SINGLE INCISION TRANSUMBILICAL LAPAROSCOPY (SILS)
o RETROPERITONEAL ENDOSCOPY
SINGLE INCISION TRANSUMBILICAL LAPAROSCOPY
Surgery through a 2.5 cm incision in the abdomen. During surgery, one or both glands can be removed. In certain cases, only the tumour can be removed, leaving the healthy gland part intact.
This is the ideal approach for tumours of> 4 cm on the left side.
This technique leaves a hardly visible scar.
STANDARD LAPAROSCOPY
Surgery through small holes (of 5 and 11 millimetres) in the abdomen. The gland with the tumour is extracted through one of the holes.
This surgical procedure is not very painful, allows the patient to recover quickly, has few complications and leaves very small scars.
At times, operating an adrenal tumor laparoscopically is not recommended because it is suspected that the tumour could be malignant or it is excessively large. In these cases an incision is made in the abdomen (traditional open adrenal surgery).
RETROPERITONEAL ENDOSCOPY
Surgery through small holes (of 5 and 11 millimetres) in the abdomen. The gland with the tumour is extracted through one of the holes.
This surgical procedure is not very painful, allows the patient to recover quickly, has few complications and leaves very small scars.
We use the retroperitoneal working space avoiding contact and manipulation of the intra-abdominal organs.
Despite it being a more difficult technique to perform, it offers obvious advantages for most patients; shorter hospital stay (48 hours approx.), less postoperative pain and a lower risk of abdominal complications.
It is the ideal approach for obese patients, patients with liver disease or people with previous abdominal surgery, since the peritoneal visceral organs are not put at risk.
It allows partial adrenalectomies to be carried out or cortical preservation in patients with bilateral tumours, patients who have been previously operated on or with MEN syndromes.
Retroperitoneal endoscopy is the only technique that allows partial adrenalectomies to be carried out successfully.
Invisible laparoscopic cholecystectomy consists of the removal of the gallbladder using a camera and special instruments that allow the surgical procedure to take place through a single incision in the navel.
This operation has replaced the former open cholecystectomy with three or four 1 cm incisions, by a single 2.5 cm incision that is now hidden in the navel.
The advantage of this operation is that it provides a more comfortable postoperative period, less pain, and a faster recovery.
The smaller the scar, the better the recovery.
Invisible incision appendectomy
The surgery of acute appendicitis consists of making an 2.5 cm incision in the navel through which all the necessary instruments are inserted and the appendix can be extracted.
Performing the incision in this region provides a more comfortable post-operative period, since it reduces the risk of bleeding or bruising.
The reduction of three or four incisions to one, implies that the patient has less pain and that, as the scar remains hidden in the navel, also has a faster recovery.
A single 2.5 cm incision allows the appendix to be extracted with an invisible scar.
It is the removal of tissue from a lymph node to be examined under a microscope.
For safety reasons, it is preferably performed in the operating theatre and can be carried out in different ways:
- Open biopsy in superficial or accessible areas.
- Laparoscopic biopsy in accessible nodes of the peritoneal cavity.
For safety reasons, it is preferably performed in the operating theatre.
The pre-surgical preparation includes a blood test, a medical evaluation, a chest x-ray and an electrocardiogram depending on the patient's age and medical condition.
MALALTS PRIVATS
(sense assegurança mèdica)
ASSEGURANCES DE REEMBORSAMENT
(veure les condicions de la seva pòlissa)
Tel. +34 678 43 08 97
+34 93 227 93 91
Dr. Òscar Vidal Pérez
Barnaclínic + Grup Hospital Clínic
Villarroel, 170
08036 Barcelona
Tel: +34 93 227 93 91
+ 34 678430897
Dr. OSCAR VIDAL© 2025. Todos los derechos reservados.
